Gonzaga Comprehensive Rehabilitation is a
Physical Therapist based in Lavale, Maryland. Gonzaga Comprehensive Rehabilitation is licensed to practice in * (Not Available) (license number ) and their current practice location is
957 National Hwy Fl 1, Lavale, Maryland. It can be reached at their office (for appointments etc.) via phone at
(240) 362-7718.
NPI number for Gonzaga Comprehensive Rehabilitation is 1518412782 and their current mailing address is 957 National Hwy Fl 1, Lavale, Maryland. Gonzaga Comprehensive Rehabilitation
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1518412782.
Healthcare Provider's Profile
Full Name | Gonzaga Comprehensive Rehabilitation |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 957 National Hwy Fl 1, Lavale, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518412782
- Provider Enumeration Date: 08/17/2016
- Last Update Date: 08/17/2016
Medical Identifiers
Medical identifiers for Gonzaga Comprehensive Rehabilitation such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518412782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gonzaga Comprehensive Rehabilitation is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gonzaga Comprehensive Rehabilitation 957 National Hwy Fl 1, Lavale, MD 21502-7356 Ph: (240) 362-7718 | Gonzaga Comprehensive Rehabilitation 957 National Hwy Fl 1, Lavale, MD 21502-7356 Ph: (240) 362-7718 |
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